注意下标单纯L4~L5椎间盘突出33例,单纯L5~S1椎间盘.docxVIP

注意下标：单纯L4~L5椎间盘突出33例，单纯L5~S1椎间盘突出18例，L4~L5针刀配合骶管注射治疗腰椎间盘突出症的疗效分析刘件生1 林木南2（南京军区福州总医院 福建福州350025）摘要：目的：观察针刀配合骶管注射治疗腰椎间盘突出症的临床疗效。方法：将符合纳入标准的120例患者按随机数字表法分为治疗组和对照组，每组各60例，治疗组采用针刀配合骶管注射治疗，对照组单纯用针刀治疗，治疗1个疗程后，分别观察疗效。结果：治疗后，治疗组的总有效率为98.33%，高于对照组的86.67%，差异有统计学意义，P＜0.05。结论：针刀配合骶管注射治疗腰椎间盘突出症临床疗效显著。关键词：腰椎间盘突出症；针刀；骶管注射；临床疗效Clinical Analysis on Curative Effect of Acupotomy Combined with Sacral Canal Injection in the Treatment of Lumbar Disc HerniationLIU Jian-sheng1, LIN Mu-nan2(Fuzhou General Hospital of Nanjing military command, Fuzhou, Fujian350025)Abstract: Objective: To observe the curative effect of acupotomy combined with sacral canal injection in the treatment of lumbar disc herniation. Methods: 120 cases of patients met the inclusion criteria were randomly divided into treatment group and control group, with 60 cases in each group. The treatment group were treated with acupotomy combined with sacral canal injection therapy, the control group was treated by acupotomy treatment only, after one course of treatment, observed the curative effect of the two groups. Results: The total effective rate of treatment group was 98.33%, while that of control group was 86.67%, the total effective rate of treatment group was obviously higher than that of control group, the difference was statistically significant, P0.05. Conclusion: Acupotomy combined with sacral canal injection significant has great clinical efficacy in the treatment of lumbar disc herniation.Key words: Lumbar disc herniation; Acupotomy; Sacral canal injection; Curative effect中图分类号：R681.53 文献标识码：B腰椎间盘突出症（Lumbar Disc Herniation，LDH）是临床上较常见的脊柱疾病，好发于青壮年患者，男性较女性多见，是引发患者腰腿痛的主要原因之一，临床表现为腰痛、活动屈伸不利，刺痛或麻木感放射至臀腿部甚至足底、足趾部等症状，严重者可致大小便失禁、瘫痪[1]。近些年来，随着人们现代生活和工作习惯的改变，LDH的发病率也呈逐年升高，已成为重要的社会问题。有学者认为非手术疗法可作为LDH治疗的首选方法，因为这样不但能够最大限度地保留腰椎的生理解剖结构与功能活动的完整性，而且还能使大部分患者的临床症状得到缓解或处于不发病状态[2]。针刀具有简便、效优、价廉的特点，患者乐于接受；骶管注射治疗LDH是一种操作简单，安全有效的保守治疗[3]，二者结合，疗效的稳定性和可靠性值得进一步探讨。本研究比较了针刀配合骶管注射与单纯针刀治疗LDH的疗效。现报道如下：1 资料与方法1.1 一般资料 选取2014年7月~2015年7月我院收治的符合纳入标